Active NPI
Elizabeth Catherine Kelling
- Pharmacist
- Sheboygan, WI
National Provider Identifier
1528692019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1135351
- Practice address
- 1029 N 14TH St
Sheboygan, WI 53081-3813 - Phone
- (920) 458-7707
- NPI assigned
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1135351 | WI | Primary |
Addresses
Primary practice location
1029 N 14TH St
Sheboygan, WI 53081-3813
Mailing address
1029 N 14TH St
Sheboygan, WI 53081-3813
Phone (920) 458-7707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1135351 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1029 N 14th St
Sheboygan, WI 53081
Phone (920) 458-7707
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1528692019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 N 14TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813813",
"telephone_number": "920-458-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 N 14TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813813",
"telephone_number": "920-458-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLING",
"first_name": "ELIZABETH",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "1135351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.